Product Details
Topamax Sprinkle
Topiramate25 mg
Sprinkle Capsule
DIN/PIN/NPN
02239908
Manufacturer
Janssen-Ortho Inc.
Formulary Listing Date
2000-11-30
Unit Price
2.2560
Amount MOH Pays
2.2560
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N03AX11
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 321 | Indefinite | In children aged 16 and under, as adjunctive therapy in the treatment of seizure disorders where control by other listed anticonvulsants has been unsatisfactory. |